X1055758

MATERNAL, INFANT AND EARLY CHILDHOOD HOMEVISITING GRANT PROGRAM - PROJECT TITLE: MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (MIECHV) PROGRAM IN KENTUCKY APPLICANT NAME: KENTUCKY CABINET FOR HEALTH AND FAMILY SERVICES 275 EAST MAIN STREET, FRANKFORT, KY 40601-2321 PROJECT DIRECTOR INFORMATION: CHRISTINE SAWALHA, (502) 564-3363. CHRISTINE.SAWALHA@KY.GOV ANNOTATION: THE KENTUCKY HEALTH ACCESS NURTURING DEVELOPMENT SERVICES (HANDS) MIECHV PROGRAM PROVIDES EVIDENCE-BASED HOME VISITING SERVICES THROUGH THE HANDS MODEL, SUPPORTING FAMILIES FROM PREGNANCY THROUGH EARLY CHILDHOOD. THE PROGRAM ENHANCES MATERNAL AND CHILD HEALTH AND STRENGTHENS FAMILY RESILIENCE. BY ADDRESSING HEALTHCARE ACCESS GAPS AND SOCIAL DISPARITIES, MIECHV ENSURES THAT AT-RISK FAMILIES RECEIVE ESSENTIAL SUPPORT. PROBLEM: KENTUCKY FAMILIES FACE SIGNIFICANT CHALLENGES, INCLUDING ECONOMIC INSTABILITY, HEALTHCARE BARRIERS, AND HIGH RATES OF MATERNAL DEPRESSION, TOBACCO USE, AND CHILD INJURIES. THESE DISPARITIES CONTRIBUTE TO POOR MATERNAL AND CHILD HEALTH OUTCOMES, HIGHLIGHTING THE NEED FOR EVIDENCE-BASED EARLY INTERVENTION SERVICES. PURPOSE: THE KENTUCKY HANDS MIECHV PROGRAM DELIVERS VOLUNTARY HOME VISITING SERVICES TO IMPROVE MATERNAL AND CHILD HEALTH, CHILD SAFETY, AND EARLY DEVELOPMENT. THE PROGRAM PRIORITIZES AT-RISK FAMILIES, ENSURING ACCESS TO COMPREHENSIVE SUPPORT. MATCHING FUNDS WILL EXPAND SERVICE CAPACITY, STRENGTHEN WORKFORCE TRAINING, AND ENHANCE COORDINATION OF REFERRALS WITH HEALTHCARE AND SOCIAL SERVICES. GOAL(S) AND OBJECTIVES: GOAL A: DELIVER HIGH-QUALITY, EVIDENCE-BASED HOME VISITING SERVICES • REDUCE AT LEAST 15% OF CORRECTIVE ACTION PLANS (CAPS) ISSUED TO LOCAL IMPLEMENTING AGENCIES (LIAS) BY SEPTEMBER 29, 2028, THROUGH ENHANCED OVERSIGHT AND QUALITY IMPROVEMENT. • INCREASE FAMILY PARTICIPATION IN HOME VISITING SERVICES BY 5%. GOAL B: IMPROVE MATERNAL AND CHILD HEALTH, CHILD SAFETY, AND FAMILY SUPPORT • INCREASE MATERNAL DEPRESSION SCREENINGS, FOLLOW-UP CARE, AND TOBACCO CESSATION REFERRALS. • REDUCE CHILD INJURIES, MALTREATMENT CASES, AND EMERGENCY DEPARTMENT VISITS AMONG HANDS FAMILIES BY 2%. • STRENGTHEN REFERRALS BY INCREASING COMPLETED REFERRALS BY 5%. GOAL C: STRENGTHEN COORDINATION WITH EARLY CHILDHOOD SYSTEMS • INCREASE HANDS REFERRALS BY 5% THROUGH IMPROVED STATEWIDE PARTNERSHIP. • INCREASE HEALTHCARE PROVIDER REFERRALS BY AT LEAST 250 FAMILIES. GOAL D: FOSTER WORKFORCE DEVELOPMENT • REDUCE TRAINING DEFICIENCIES IDENTIFIED IN PLANS FOR GROWTH OR CAPS BY 10%. • IMPROVE STAFF RETENTION RATES BY 5% THROUGH PROFESSIONAL DEVELOPMENT. APPROACH: MIECHV IMPLEMENTS THE HANDS MODEL, USING EVIDENCE-BASED INTERVENTIONS TO SUPPORT AT-RISK FAMILIES. HOME VISITORS PROVIDE EARLY INTERVENTION AND PARENT EDUCATION TO IMPROVE HEALTH, SAFETY, AND CHILD DEVELOPMENT OUTCOMES. • CASELOAD: MAINTAIN A CASELOAD OF 4,278 MIECHV FAMILY SLOTS IN YEAR 1 AND 4, 686 IN YEAR 2. • MIECHV COMMUNITIES SERVED: SERVICES WILL BE PROVIDED IN 120 MIECHV-FUNDED COUNTIES, EXPANDING TO MEET HIGH-NEED AREAS. • LIAS: FUND 59 LIAS TO ENSURE STATEWIDE ACCESS. • MATCHING FUNDS: SUPPORT WORKFORCE TRAINING, STRENGTHEN SERVICE DELIVERY CAPACITY, ENHANCE COORDINATION WITH COMMUNITY PARTNERS, AND ADDRESS LIA TECHNOLOGY NEEDS. IF NOT APPLIED, SERVICES WILL BE MAINTAINED WITHIN CURRENT FUNDING WHILE IDENTIFYING FUTURE FUNDING SOURCES. KENTUCKY MIECHV IS COMMITTED TO IMPROVING MATERNAL AND CHILD HEALTH, STRENGTHENING FAMILIES, AND FOSTERING COMMUNITY RESILIENCE THROUGH HIGH-QUALITY HOME VISITING SERVICES.

Kentucky Cabinet For Health & Family Services

THE MIECHV PROGRAM SUPPORTS PREGNANT WOMEN AND PARENTS WITH YOUNG CHILDREN WHO LIVE IN COMMUNITIES THAT FACE GREATER RISK AND BARRIERS TO ACHIEVE POSITIVE MATERNAL AND CHILD HEALTH OUTCOMES. BUILDING UPON DECADES OF GOLD-STANDARD SCIENTIFIC RESEARCH, THE MIECHV PROGRAM PROVIDES VOLUNTARY, COORDINATED AND COMPREHENSIVE, HIGH-QUALITY EARLY CHILDHOOD HOME VISITING SERVICES TO ELIGIBLE FAMILIES. HOME VISITS BY A NURSE, SOCIAL WORKER, OR OTHER TRAINED PROFESSIONAL DURING PREGNANCY, AND IN THE FIRST YEARS OF LIFE CAN IMPROVE THE LIVES OF CHILDREN AND FAMILIES BY: HELPING TO PREVENT CHILDHOOD AND ADULT CHRONIC DISEASE AND BEHAVIORAL HEALTH CONDITIONS; SUPPORTING FAMILIES TO PREVENT CHILD ABUSE AND NEGLECT; PROMOTING CHILD DEVELOPMENT AND SCHOOL READINESS; AND BOOSTING FAMILIES ECONOMIC SELF-SUFFICIENCY. HRSA ADMINISTERS THIS PROGRAM IN PARTNERSHIP WITH ACF. WITH INCREASES IN APPROPRIATIONS UNDER THE MIECHV PROGRAM FOR FY 2026 AND FY 2027, HRSA STRONGLY ENCOURAGES AWARDEES TO EXPAND HOME VISITING SERVICES TO NEW COMMUNITIES AND/OR ADDITIONAL FAMILIES IN CURRENTLY SERVED COMMUNITIES THROUGH THIS FUNDING OPPORTUNITY.

93.870 - Maternal, Infant and Early Childhood Home Visiting Grant

HRSA Office of Federal Assistance Management (OFAM) [HHS - HRSA]

Maternal and Child Health Bureau (MCHB) [HHS - HRSA]

Kentucky United States

State-Wide

HRSA-26-091